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JESSICA SUE PENHALE
NPI 1720734015
Counselor - Mental Health in Detroit, MI

Active since February 24, 2022
707 W MILWAUKEE ST, DETROIT, MI 48202(313) 488-4673 Get Directions Write a Review

NPPES record last updated: February 24, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jessica Sue Penhale NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA SUE PENHALE (NPI 1720734015) is an individual mental health provider in Detroit, Michigan and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1720734015
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJESSICA SUE PENHALE
Location Address707 W MILWAUKEE STDetroit, MI 48202-2943
Mailing Address540 Thompson St # 4073Ann Arbor, MI 48104-2414 · (906) 236-0962
Phone(313) 488-4673
Sole ProprietorNo
Enumeration DateFebruary 24, 2022
NPPES CertifiedFebruary 24, 2022
✔ NPI 1720734015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
707 W MILWAUKEE ST, Detroit, MI 48202
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KARYNTHIA STORY
Behavior Technician
707 W MILWAUKEE ST
DETROIT, MI 48202
Wayne County (313) 989-9444
MARK ELTON APPLETON
Peer Specialist
707 W MILWAUKEE ST
DETROIT, MI 48202
Wayne County (313) 989-9444
MELISSA MOODY
Psychologist (Cognitive & Behavioral)
707 W MILWAUKEE ST
DETROIT, MI 48202
Wayne County (313) 410-4992
MS. VICKY KAY POLITOWSKI LMSW
Social Worker (Clinical)
707 W MILWAUKEE ST
DETROIT, MI 48202
Wayne County (248) 217-2971
JEWEL IRLENE WALTON
Peer Specialist
707 W MILWAUKEE ST
DETROIT, MI 48202
Wayne County (313) 344-9099
SAGE RINGSMUTH
Social Worker (Clinical)
707 W MILWAUKEE ST
DETROIT, MI 48202
Wayne County (313) 344-9099
DAWN MARIE BURCH MA, LLP
Psychologist
707 W MILWAUKEE ST
DETROIT, MI 48202
Wayne County (313) 344-9099
CRYSTAL LAVERA BURKES RN
Registered Nurse
707 W MILWAUKEE ST
DETROIT, MI 48202
Wayne County (313) 989-9444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Penhale's NPI number?

The NPI number for Jessica Penhale is 1720734015. It was assigned to this individual provider in the NPPES registry on February 24, 2022.

Where is Jessica Penhale located?

Jessica Penhale practices at 707 W Milwaukee St, Detroit, MI 48202. The listed phone number is (313) 488-4673.

What is Jessica Penhale's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jessica Penhale was last updated on February 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.